Simpson Andrew M, Donato Daniel P, Veith Jacob, Magno-Padron David, Agarwal Jayant P
Division of Plastic and Reconstructive Surgery, Department of Surgery, Western University, London, Ontario, Canada.
Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Texas Medical Branch, Galveston, Texas, USA.
Orthop J Sports Med. 2020 Dec 15;8(12):2325967120964622. doi: 10.1177/2325967120964622. eCollection 2020 Dec.
There is a high incidence of hand and wrist injuries in athletes participating in collegiate sports, but there is little information published characterizing them.
To characterize hand and wrist injuries in collegiate athletes using a large national database.
Descriptive epidemiology study.
This retrospective cross-sectional analysis was designed using data from the National Collegiate Athletic Association (NCAA) Injury Surveillance Program database to identify hand and wrist injuries (exclusive of any radial or ulnar fractures) in male and female collegiate athletes participating in NCAA Division I, II, and III sports from 2004 to 2015. Descriptive analyses were performed on stratified data to examine the associations between these injuries and sport, event type, and sex.
Men's ice hockey (8.25 per 10,000 athlete-exposures [AEs]) and women's ice hockey (8.21 per 10,000 AEs) had the highest rate of hand and wrist injuries in all exposures. In every sport except women's gymnastics ( = .107), injuries were more commonly sustained during competition rather than during practice. Ligamentous injury to the phalynx was the most commonly sustained injury overall (1.416 per 10,000 AEs), and a metacarpal fracture was the most commonly sustained hand or wrist fracture (0.507 per 10,000 AEs). Injuries sustained during men's wrestling (14.08 days) and women's gymnastics (10.39 days) incurred the most time lost from sport. Surgery for hand and wrist injuries was most commonly required for men's football (0.413 per 10,000 AEs) and women's field hockey (0.404 per 10,000 AEs).
Hand and wrist injuries were common among collegiate athletes Male athletes experienced injuries with more frequency and severity. Injuries occurred more commonly during competition. While the majority of injuries were minor and did not require surgery, certain sports conferred a much higher risk of significant injuries requiring a surgical intervention.
参加大学体育运动的运动员中，手和腕部损伤的发生率很高，但关于此类损伤特征的公开信息很少。
利用一个大型国家数据库描述大学运动员的手和腕部损伤情况。
描述性流行病学研究。
本回顾性横断面分析使用了美国全国大学体育协会（NCAA）损伤监测项目数据库中的数据，以确定2004年至2015年参加NCAA第一、二、三级运动的男女大学运动员的手和腕部损伤（不包括任何桡骨或尺骨骨折）。对分层数据进行描述性分析，以研究这些损伤与运动项目、赛事类型和性别的关联。
在所有暴露项目中，男子冰球（每10000运动员暴露次数[AEs]中有8.25例）和女子冰球（每10000 AEs中有8.21例）的手和腕部损伤发生率最高。除女子体操外（P = 0.107），在每项运动中，损伤更常见于比赛期间而非训练期间。指骨韧带损伤是总体上最常见的损伤（每10000 AEs中有1.416例），掌骨骨折是最常见的手部或腕部骨折（每10000 AEs中有0.507例）。男子摔跤（14.08天）和女子体操（10.39天）期间发生的损伤导致运动员缺赛时间最长。男子橄榄球（每10000 AEs中有0.413例）和女子曲棍球（每10000 AEs中有0.404例）最常需要对手和腕部损伤进行手术。
手和腕部损伤在大学运动员中很常见。男性运动员受伤的频率和严重程度更高。损伤更常见于比赛期间。虽然大多数损伤较轻，不需要手术，但某些运动项目导致需要手术干预的严重损伤风险要高得多。
